Saturday, November 30, 2013

Genevieve's Delivery Day



4 years ago today, I went into labor and delivered a beautiful baby girl named Genevieve. I went into septic shock which entered my lungs, my heart... I spent 9 days in the hospital and lived, she didn't. But, I got to hold her and felt only awe and peace. 

For her funeral I made exactly 100 little guardian angels to go out into the world through friends and family. I made these as Christmas tree ornaments and she goes on our tree every year. When I ask Christopher who is Genevieve, he says "my sister and guardian angel". When Rise of the Guardians came out in the movies, he made the connection between the main character and his sister. When I cried out for help the first time on Facebook for direction on the day I learned I had an aggressive and invasive breast cancer -- exactly 100 people responded. I couldn't help but think that my guardian angel was right there, saying "Mommy, it's going to be ok." 

I survived yet another deadly illness and today I'm here so grateful. I think of so many things ... including Eric Clapton's lyrics, Tears in Heaven. In particular, I feel like I tasted heaven on that November 30, 2009 -- but it's not my turn. I don't belong, yet. Im posting the lyrics in memory of Genevieve on this morning that my body woke up --on its own-- the exact time I went into her labor. Awe and peace...

"Tears In Heaven"

Would you know my name
If I saw you in heaven?
Would it be the same
If I saw you in heaven?

I must be strong
And carry on,
'Cause I know I don't belong
Here in heaven.

Would you hold my hand
If I saw you in heaven?
Would you help me stand
If I saw you in heaven?

I'll find my way
Through night and day,
'Cause I know I just can't stay
Here in heaven.

Time can bring you down,
Time can bend your knees.
Time can break your heart,
Have you begging please, begging please.

Beyond the door,
There's peace I'm sure,
And I know there'll be no more
Tears in heaven.

Would you know my name
If I saw you in heaven?
Would it be the same
If I saw you in heaven?

I must be strong
And carry on,
'Cause I know I don't belong
Here in heaven.

Memories of her chapter:

http://ourbabygenevieve.blogspot.com/2010/01/2-months-later.html?m=1






Tuesday, October 8, 2013

Labor Day Run: One Season Ending, One Beginning


One Season Ending, One Beginning

In February I said I'm looking at my cancer as a season -- lasting from Valentines Day to Labor Day. Here I am on Labor Day. I'm so relieved to be here. I'm grateful beyond words.

Where am I now in terms of the 'treatments for breast cancer?' Mastectomy, Chemo and Recovery ended-- now 10 weeks post experience on this particular day which also coincides with my first weekend of Tamoxifen. I still have one more surgery left which I'm saving up for (I currently have the spacer in place behind my pectoralis which was done at the mastectomy. At this surgery, two doctors worked in tandem -- while one removed, one cut behind the pectoralis to insert these balloon-like structures that were later gradually filled with saline solution with needle injections on ten day increments to stretch the muscle so that I could eventually have a place to later insert a breast implant. You continue this process of injections until you're the size you want. I've been done with the size part for a while. Not comfortable but could be worse. Looking forward to the replacement). 

I was told that this next stage of cancer treatment -- Tamoxifen -- has possible side effects. I decided that a nice balance of rest and "endorphin flood" via running and racing will help me fight off side-effects of Tamoxifen. In fact, I'm even taking it a step further by deciding to run cross country this year for the extra 'high' I get from racing to counter any 'low' from medication.

Here are some examples of how running or exercise that produces endorphins can help:

1. Estrogen likes fat cells; estrogen hungry tumors thrive on fat cells. Running helps keep one lean and therefore fewer fat cells that tumors would thrive on.

2. Estrogen supression causes one to have the blues or be moody; running produces endorphins which counteract the low estrogen.

3. Estrogen supression causes increased cravings for things like salt, sugar, refined items; running curbs the appetite and makes me make better choices.

4. Chemotherapy produces bone loss; impact sports like running help produce more red blood cells, white blood cells, and platelets in the bone marrow.

I'm banking on running. It's my labor of love -- such a perfect pair for me on this Labor Day. So far, I'm off to a good start!

Craving cookies?

I find that I crave sweets when I juice less; juicing vegetables -- at least 40-60 ounces daily alongside healthy good foods like those followed by paleo folks help me curb the cravings.

But, when I do crave sweets, what do I do? I reach out to foods that trick my brain. Foods my brain think are cookies and pancakes. With this post I've decided to share some of my favorite recipes to trick the brain. I've tested these on friends and strangers and they got the yummy votes of approval.

Here is my favorite cookie recipe:

ingredients:
2 cups of shredded coconut
1/2 cup of any nut butter (Brazilian is my favorite; next are cashew butter and almond butter)
4 tablespoons of raw honey
1 tablespoon of cinnamon
pinch of salt

Place all items in a food processor -- let it do the work for you. If your coconut is not finely shredded, then shred that first and add all other items after. Place in bowl and roll into ball by mashing it against the side of the bowl. Roll ball unto wax paper. Flatten so it looks like a large flat square or rectangle. Cover with another piece of wax paper. Chill in fridge for one hour. Cut into small inch size bites. Store in glass container in fridge. Munch when hungry. Enjoy!

Superfood variation:
add 2 tablespoons of Lucuma which is rich in niacin and iron. Also add 1 tablespoon of Maca which is awesome for hormone balance.

Faux chocolate variation:
Throw in carob chips or Enjoy Life chocolate chips (here's their link). Gluten Free, Wheat Free, Dairy Free, Peanut Free, Tree Nut Free, Egg Free, Soy Free, Fish Free, Shellfish Free. Also Non-GMO Verified, made with no artificial anything, Vegan and Kosher! Ingredients = Evaporated Cane Juice, Chocolate Liquor, Non-Dairy Cocoa Butter


Next Stage of Cancer Battle: Hormone Treatment

Date of entry 8/8/13

I'm currently 6-7 weeks post chemotherapy which was the second stage of the battle against breast cancer; the first stage was a double mastectomy.

I'm now approaching the third stage of cancer battle which is tamoxifen --an estrogen blocker since my cancer tumors were estrogen hungry; it's a hormone treatment that suppresses estrogen production in breasts. 

I have to admit, I'm the least excited about this stage initially. First, I don't have breasts.  The drug is supposed to help women not develop breast cancer. Hmm. My layperson thinking is that I would need breasts -- and I don't know if the women in the studies had at least one breast or partial breast. This I'll be researching....

Also, in terms of treatment, I think it was easier to swallow both mastectomy and chemo because there was an active, known, ugly 9/9 grade cancer in my system -- so all I could focus on was 'get it out!' It was, in the thought process of it, easier to do from this standpoint because it was tangible. The mastectomy gets out was is visible; the chemotherapy gets out what might still be deemed dangerously fast growing and invasive (like mine -- mine got the worst possible score of both fast growing and invasive; chemo works only on fast growing and fast invading cells. It doesn't work on what is slowly growing or dividing). I just wanted my two tumors (one 2.5 cm the other 5 cm, Invasive ductal carcinoma with lymph node involvement) out as soon as possible. And, I had a game plan to also fight the side effects of these decisions. Psychologically this helped a great deal.  This third stage of treatment, the Tamoxifen, in order to fight off cancer is tricky in the brain department, at least for me, because I'm fighting off an invisible invader or an invader that is potentially there in the future. It's harder to fight something that is not quite there, yet.

I've researched journal articles, asked researcher and medical friends for advice, read breast cancer survivor chat rooms/message sites. I needed to do this, talk to other survivors, and talk to two of my doctors, about this next decision since I was still on the fence. Honestly, the side effects do scare me (uterine cancer, liver damage, eye damage) but doctors say these are rare. Depression, weight gain, hot flashes are more common side effects... but there are natural solutions that I'm looking at through foods, exercise, supplements.

I guess I can think of this stage of cancer treatment like I'm still at war but my enemies are both lingering and hiding? Well, this would do nothing for the sleep department. Not an option in my head -- and if it does sneak in there, then I'm choosing to focus on that I won this war; I want to enjoy it and not waste time worrying. But, I am keeping it real in that at least at this particular point in time of my treatment, on this particular day, I am fighting the worries and bombarding these thoughts with positive experiences and thoughts. I try to replace with things I enjoy to do --- like play with my son, hang out with my husband, run, read, swim, nap.

Deciding to take Tamoxifen has now become the next stage -- third stage -- which I'll be on for the next 5 years minimum. The newest research recommends 10 years; my doctor said take 2 years at a time.

Aside from weighing risks and benefits, the following breast cancer survivor post helped -- in it you can get a picture of some of the worries we face -- and thought processes to help not hyper focus on it as well:

"
 Re: Re: More confused after second opinion - Saturday, October 02, 2004 12:14 PM
Ginger...

I'm with Barb.

I had 4 tumors with largest 1.7 CM on left - 2 on 1-3 scale of aggressiveness, DCIS on right, no node involvement. I did bilaterals with implants and did 4 rounds of a/c chemo and do plan to go on tamox.

The reason being life. I'm 40 and have two kids, 13 and 4, and I wanted to do everything possible to prevent recurrence. I met with 3 different oncologists who all said the same thing. In fact, one younger mail doctor, whose wife was my age, said that he wouldn't be able to sleep nights unless he knew I was taking the most aggressive route possible.

I did research and after so many opinions, my recurrence rate drops from something like 20% with just the surgery, 7% with the chemo and 2% with tamox...not sure of exact numbers, but it was that dramatic.

When I was up in the air about chemo, I read an article in the Boston Globe about a 42 year old mom preparing to die. She had cancer at 36 and thought she was being so aggressive with bilaterals instead of just a lumpectomy and opted for no chemo. She now had it everywhere and was making videotapes for future reference for her children to help them cope with issues when growing up without her. I read that article and saw her and her two children's photos and said "bring on the chemo."

Re tamox...not totally thrilled with what it may cause. I'm starting it in another few weeks after my body has settled a bit from chemo and hopefully I won't be an emotional mess on it. My onco said mostly I'll have to worry about hot flashes, and possible menopause, but whatever. I'll have to go thru that at some point. If that's the worst of it, I'll take it for the added life insurance.

Good luck...that's just my two cents.
Pat




Monday, July 29, 2013

Recovery Update: 6 Weeks Post Chemo


The biggest recovery happened from weeks 4-6. For me, it meant fewer episodes of feeling aches in joints, moments of fatigue that hits out of the blue, feelings of being kicked in my lower back and neck at the base of the skull. The neuropathy comes when I juice less; I find if I juice it keeps tingling legs and arms at bay. 

I pretty much do normal activities buffered by naps on either end (before activity or end of day before dinner. For instance, I volunteered at my son's summer camp, I homeschool him, I conduct therapy, I workout daily before my household wakes up. 

On the fifth post chemo week I did a part of a Ragnar Trail competition. This is an 8 person relay times three legs each over a 24 hour period of time at altitude on running trails. This one happened at Lake Tahoe, running a range of 7000 feet and 9000 feet. I ran twice within 24 hours - each of the short legs of 2.7 miles. One leg was my original leg (I had one of my brothers shadow me just in case; another brother run my second leg which was planned a month ago; a friend ran my third leg also as planned. This was my re-entry into racing). The second time I ran it was also at 1130am in the heat -- I ran as one of my teammates pacers for his short leg. My hubby did all three legs -- so proud if him! I had the best teammates. Friend and family support. So much fun! It was perfect. 
Overall the 24 hour experience was perfect for this stage of my recovery. I do think next time I can run all three legs which is hopeful.












Speaking of the trip and handling altitude while still having chemo in my system: I do feel that some of the daily health rituals contribute to minimized pain. These include daily running, daily juicing, daily supplementing. The running pounding creates more cells in my blood  marrow. The juicing and supplementing not only repairs cells but provides energy and promotes new cell growth. When I don't do this (I've tested on myself by accident -- like falling asleep early before taking my nightly ritual supplements or rushing off the appointments while leaving juice home for the day) I do feel the difference. I can also see how mood is elevated as well when I run, juice, supplement and take naps.

For this competition I did bring a juicer and juiced 200 ounces of carrots, celery, beets, broccoli, spinach for a three day period. I juiced at our cabin which we had for two nights. Then I juiced for the competition by putting in recycled glass water containers and putting in the ice chest. I also kept downsizing the containers and started using plastic water bottles. Along with juice I aimed for minimum of 64 ounces of water and small meals throughout the day. 



For the competition I also placed my supplements into those daily medicine dividers. These lasted 4 of the 5 days of our vacation (they melted on day 5 when I forgot to keep in cool area). Overall I felt pretty good -- pretty normal. 



Also -- can't forget about lymphedema prevention. To avoid this swelling in the areas of where my lymph nodes were removed, I used a sleeve. This I got measured for at a medical supply store. Apparently I will need this anytime I fly and go to altitude. Worked great! I even got compression sleeves for my calves which really helps with recovery. 



I'm now entering week 6 of recovery and one can now see my eyebrows have grown in. My toenails are not fallen off, but they are dark so I paint these. And as for body  hair like legs and pits it looks like shaving will need to start soon (ahh -- I did enjoy not needing to do this. It was one of the silver linings).




I'm overwhelmed with the amount of thoughts and prayers my way which have lifted me throughout this experience. Forever grateful. 

Friday, July 19, 2013

First Lymphedema Sleeve and Gauntlet

When your lymph nodes are removed during mastectomy you then must learn about swelling on the side of removal -- especially if you fly or go to altitude. Learning about lymphedema is often not talked about by cancer doctors; I learned from "the sisterhood" of which I'm gratefully a part of. So, I'd like to share this info so as to prevent pain for other sisters:

I first made an appointment with a fitter to get the right sleeve and gauntlet size. I learned what these things are then learned how to take these on and off. For instance, you fold down in half to slide upward without touching the non-slip portion at the top in order to avoid natural oils from hand to make those non-slip areas slippery. It was an hour long appointment -- the sleeve was $90 and the gauntlet, or part that goes over hand, was $50 which I paid upfront with hopes of insurance reimbursing later. I'm flying soon and Ill be at altitude so this will come in handy. The fitter recommends wearing at least an hour prior to flight than about an hour after flight. 

Friday, July 12, 2013

Post Chemotherapy Hair



Just wanted to record this moment in time...looks like my new hair will be salt and pepper in color versus previous black hair. It also looks like it will be wavy versus previous straight hair. It is quite mysterious how this all works ;)

Wednesday, July 3, 2013

Probiotics

Chemotherapy rips up your intestines by taking out the good floura so its good to replace with probiotics.

Since I'm going mostly dairy free I'm using coconut kefir.

i either buy from health market:



or make my own:

1. Kefir starter package from www.bodyecology.com

2.  Water from two coconuts which yields about 2 cups

3. Glass container with lid

4. Let it ferment on kitchen counter for 36 hours. Then place in fridge.

5. Drink about 2 ounces daily. It keeps for about 7 days.

36 hours later:

NOTES:
I'm still hunting for the best way to open up a coconut. I usually just take my biggest kitchen knife and whack it about 20 times on the top and eventually I see the white soft part that I can cut into. So, I started reading about it and came across these nice videos. Enjoy!

Video 1:
He basically says to hold the coconut and whack the side of it a couple of times  (I was doing top) which then cracks 'the equator' (basically all along the side of the coconut). I tried this and it did seem to work pretty well:

Video 2:
This was a featured one on youtube. The top holes are called monkey eyes and she inserts a screwdriver. She shows 3 different ways to open it:

Video 3:
This one shows how to make coconut milk which is what I'm substituting for dairy (this one is 14 min):

Video 4:
Another coconut milk one...6 min long:







Juicing

I keep my juicer next to my sink for easy access.

I place my juice in glass containers by recycling my Voss water containers.

Saturday, June 29, 2013

New Therapies Over Chemotherapy To Watch For In The Near Future

I was just sent this link and wanted to repost it here because it is informative and hopeful.

There are many researchers working on molecular types of therapies over chemotherapy to treat cancers. One such molecular therapy that is showing 83% rate of success is in those with a certain type of blood cancer -- a leukemia, and in a certain type of gastrointestinal cancer. The approach doesn't use chemotherapy at all. It comes in a pill format that targets a specific homogenous (single source, single type of cell) cancer cell. It hopefully means that in the future, similar treatments will be out there for people with heterogenous (multiple type of cell and possible source) cancer tumors like those found in breast and prostate cancers.

Here is the article that was sent to me which is worth the read:

http://news.yahoo.com/no-more-chemo-doctors-not-far-fetched-094524778.html

Sunday, June 23, 2013

Dear Starbucks

Dear Starbucks,

I am a breast cancer survivor who had an estrogen positive breast tumor who is excited about health food markets like Whole Foods, Lazy Acres, Mothers and restaurants like True Foods that steam more than cow and soy milk. They also steam organic almond and coconut milk which are good choices for someone who is sensitive to foods that possibly boosts estrogen positive tumor growth. 

The jury is mixed on whether or not to avoid soy milk (fermented, non-processed, non-refined soy in small quantities like those found in miso soup is healthy; processed refined is different and has been linked to cancers in animals). So, please start offering organic almond and coconut milk options for someone like me who desperately wants to sip a hot beverage at your location but  currently can't find something on your drink menu for me other than hot water. Thank you.

Note:
The following link provides a glimpse into the controversy of soy. Basically soy that is natural and fermented vs refined and processed is better in general which means non organic highly procrssed soy milk would not be a great first choice for someone who has had an estrogen positive breast cancer tumor. Read the article as well as the posts by others to find both sides of the argument:

http://m.cancer.org/cancer/news/expertvoices/post/2012/08/02/the-bottom-line-on-soy-and-breast-cancer-risk.aspx

Wednesday, June 19, 2013

Chemotherapy Completed: Modified Gerson Juicing Therapy

Today would have been the next round of chemotherapy -- but I'm officially done getting these cocktail infusions. Officially, I'm now done with two phases of my cancer treatment: the double mastectomy was phase 1; chemotherapy was phase 2. Next will be lab work to see how my body reacted to this process ... and then off to hormone therapy.  In the meantime, today is day 1 of my next phase: recovery.

During this recovery phase I am starting with a cleanse to rid myself toxins that aren't needed in my body. In particular, I'll be following a Gerson Therapy Cleanse. It will last 2 weeks. This is what is looks like:


Daily

  • 13 glasses of juice
  • regular organic vegetarian meals (To this I'm adding that these vegetarian meals are Paleo meaning no grains, no dairy, no legumes. If you google "Paleo bread" for instance, you'll see most recipes look just like bread but instead of using white or wheat flour you use almond flour or coconut flour or some other non-grain flour)
  • poop elimination (Gerson calls for enema's; but when he was alive he didn't know about chia seeds! Chia is my choice)
  • supplements
  • positive thinking


In practice, this is what is looks like:
I wake up and have a juice. Then, every hour I drink 8 ounces of some juice (alternating hours with a mixed green juice or a carrot juice) for a total of 13 juices in the day. In addition, I'll eat regular meals but the food will only be organic (which means no pesticides or genetically modified in any way) vegetarian. This means I'll have an organic Paleo vegetarian breakfast, lunch, dinner, with snacks in between. I'll also drink 64 ounces of water throughout the day (I have a 16 ounce container which I marked "drink 4-5 of these daily").

A typical day will look like this:

  • 5am juice 1
  • 6am-7am exercise
  • 7am juice 2
  • 8am juice 3 plus breakfast (example: chia porridge, chia cereal of chia seeds with hemp seeds, almond or coconut milk)
  • 9am juice 4
  • 10am juice 5 snack (eg nuts or paleo -- non grain -- muffin)
  • 11am juice 6
  • 12 noon juice 7 plus lunch (example: avocado and veganaise on paleo-- non grain-- bread with salad)
  • 1pm juice 8
  • 2pm juice 9 plus snack
  • 2pm-3pm or 4pm nap
  • 4pm juice 10
  • 5pm juice 11 plus dinner plus supplements
  • 6pm juice 12
  • 7pm juice 13
  • 8pm get ready for bed


Supplements include:
iron
calcium
probiotic
vitamin c buffered
vitamin d
magnesium
B6
B12
COQ10
Phosphatidyl Serene
GAMA
Inositol

After this cleanse, I'll need to figure out if I am going to go vegetarian -- or go mostly vegetarian with some meat here and there....I'll cross that barrier soon enough.

So that's what's happening with me in terms of this year's cancer treatment: waiting for lab work and oncology appointment of June 28th 9am, doing a 14 day cleanse starting today, and waiting for a double surgery of reconstruction plus hernia repair first week of August. And of course in terms of just life in general we are currently waiting for son's appointments regarding his second seizure with Todd's Paresis, doing homeschool and planning summer school program which includes some fun camps for him.

Thank you for keeping me and my family in thoughts, positive vibes, prayers.

Note regarding photo: at the beach with almost an inch of hair coming back;)

MRI or CATSCAN?

I asked myself this question as a mom and clinician thinking on my feet the morning of June 13th in the ER after my son suffered his second tonic-clonic seizure of this year and the ER doctor was quick to turn to the CATSCAN as the first choice. This is an example of how life just happens regardless of whether or not one has cancer or is fighting cancer -- it's one heart-wrenched dilemma we faced during this cancer trail.

My husband said that he heard an NPR report on the recent studies of CATSCANS on children -- and how these have contributed to cancer in children. Of course I'm super sensitive about this topic being that I'm a cancer fighter -- the thought of my child developing a cancer makes me ill.

In neuroanatomy classes, as clinicians, we learned that when a patient goes into the ER and has a stroke then the choice of brain imaging is CATSCAN. Though it is the equivalent of roughly 300 x-rays, in the few minutes it takes to do it can reveal so much about a person's type of stroke or brain insult. You want to rule out a bleed, like a hemorrhage, because that determines the type of medication you give the patient. Imagine giving a blood thinning medication to a person who is already bleeding -- that person could bleed to death. In this instance you'd want a blood clotting medication. It's the doctor's call -- but we all can contribute to the discussion by providing clear details of the event and by careful observation.

In the ER my head was pounding 'think think think think think'.... why is she ordering the CATSCAN over the MRI? Is it a time sensitive thing she's doing because if he's behaving like there is a bleed then we need to go down the CATSAN route. Or, is it a convenience thing -- is it easier to schedule or cheaper to do?

In our son's case, there are so many things to weigh into the decision making process: his duplicate chromosome two has wreaked some havoc on his system -- making it more susceptible to things, everything from GI to lungs up through neuro stuff; but, he's also overcome things all along the way and we are super hopeful that one day, as an adult, these things will all be a distant memory buried in so many positive experiences filled with love. One day his body will be so strong that he'll be the case example of complete breakthrough -- like the athlete who makes an Olympics after being told that he or she would never run again prior to even qualifying for an Olympics due to an ugly injury. The other things to weigh in to the decision of CATSCAN or MRI is that he has a history of motor challenges in his brain. For instance, in apraxia, he knows what to say -- the formation of his words and ideas are fully functional in his brain -- but the connection to the mouth is off. Apraxia is motor related. He also has dysarthria -- another motor related thing stemming from the brain -- and this causes muscle weakness. In our case, the motor part causing the motor weakness is in the tongue and cheeks. The chromosome 2, the apraxia, the dysarthria are obstacles he's had to overcome obstacles -- he's worked so hard to get where he is today but these are always on the back burner in decision making processes when some big event takes place, like an ER trip.

This time the new thing that entered into the weigh in process was that after the seizure his tongue was paralyzed and so was his left arm. The first thing I thought was that he was having a stroke. So if this were true, a CATSCAN would be the first imaging you'd turn to because it could save one's life. Like I mentioned above, it is done within a few minutes and can image broken vessels causing bleeds in the brain if it's the type of stroke that is a bleed which calls for a clotting medication; if it's not a bleed type of stroke then one gets a blood thinner. If you give the blood thinner when someone is having a bleed then one can bleed to death which is why the CATSCAN and timing is important.

In our case, the paralysis came after the seizure. If no seizure happened, then it's safer to say it was a stroke especially if the tongue and arm stayed paralyzed. In our case, after about an 45 minutes (the time it happened plus the time it took to get to the ER, registered, and seen by the doctor) his tongue and arm slowly started to function again. Since the paralysis came with a seizure there is something called Todd's Paresis which mimics a stroke but isn't. In this case, the MRI is the best call since, though it takes about 45 minutes vs the few minutes of the CATSCAN, it does not  expose the body to the 300 times radiation that the CATSCAN exposes one to. In fact, the MRI does not use radiation at all and therefore does not contribute to cancer.

Today we are recovering from a what was a cold; it's now a week since we had started a fever. He has an MRI appointment to rule out certain causes of the seizure. In our case, we are praying it was febrile and nothing else. We also have appointments set with his neurologist, GI, ENT, and pediatrician.

Like I also mentioned above,  fighting cancer does not mean life stops. Life happens with all its easy and hard experiences and all these experiences have to be met face on. What did help the doctor in our case is learning how sensitive we are to cancer since I'm fighting (and it was obvious with my bald head); if I did not have cancer or concerns of radiation exposure then the CATSCAN would have been his only option -- which would have been ok if he was indeed having a stroke -- but he was having Todd's paresis instead.

Wednesday, June 12, 2013

Last Week of Chemo

I have now reached the final week of my chemo infusions of taxotere and cytoxan. My reading and research have now shifted in focus: how will I plan my recovery from chemotherapy, how will I address menopause which is a side effect of chemotherapy, and what traditional, complimentary and alternative approaches will I use for hormone replacement, bone loss prevention and cancer reoccurrence prevention. If I knew the answers to all of these things I would be one darn lucky woman; the science field is trying to figure this one out, too. So, since I'm in the thick of it all plus my number one goal is long-term survival, then I have nothing to lose but to be informed and go the healthiest route possible.

This past week when my mommy-hat came off each night, I dove into some of the cancer books I bought in the beginning of this process. Three of the books in particular that I dove into are:

1. Dr. Susan Love's Breast Book
2. Breast Cancer for Dummies
3. Gershom Therapy for Cancer
4. Premenopause and What Doctors Won't Tell You
5. Menopause and What Doctors Won't Tell You

Each of these books offer a perspective that I think is worth the read. In particular, the idea of healthy eating, supplementing, exercise, and some form of positive thinking (whether it's from prayer, yoga, or other activities which includes laughter) contributes to healing. So far I've seen that all of these things have been super helpful in getting through the mastectomy healing process and getting through chemotherapy. I'll have to talk more about these in future posts as individual topics. In fact, I'll have to post my ABC's of what I've learned throughout this experience and what I'm continuously learning in this next stage -- all in the spirit of sharing information. I think that's what I'll do....

Thank you again for thoughts and prayers my way and my family's way!

Wednesday, June 5, 2013

Dad's Dream


Dad Dream June 5, 2013


I haven’t had an emotional type cry in a long time -- in fact, the last was when I found out I had cancer. Once there was some kind of game plan I had been in game mode, tackling the hurdles in front of me with purpose, with strength of people behind me, with calm. Ok, so chemo brain is making more forgetful. There are other moments like when I passed the license exam in between mastectomy and chemo, seeing my hubby graduate, watching my son dance to a Peruvian song that I used to see in my dad and my step-mom’s house (It’s a drum and flute one that is a happy song that makes you feel the beat of the earth and make you want to dance).

This morning I woke up with tears and crying -- a happy cry filled with such vividness and realness that I felt like I was waking up and going to go talk with the people in my dream. The people in my dream were my dad and my step-mom. I woke right after hugging my dad so warmly and tightly. I woke up forgetting my dad died 11 years ago.

My hubby asked how I slept and I told him. He wanted to know about the dream, but I was scared I’d forget so I told him I’m going to write it down first:


In my dream my siblings and I were at my dad’s house. He was calm. He was peaceful. He was filled with purpose. He and my step mom were clearing out the house in a calm fashion. They told us that they decided they were going to sell the house, so we all jumped in and started helping them clean up the house. Most of the dream was about cleaning up the house and ridding it of clutter -- just keeping things that they wanted in a lighter style of life that would give them quality of life. I remember one of the last items was some sort of outside television unit that seemed ahead of its time. We wondered if it worked. It worked and I asked if I could keep it, so we all brought it out to the front of the house together. My dad seemed so happy.

Then randomly some of his friends that I did not know showed up. They were all sitting in the living room together on two adjacent sofas, talking. I started to ask where he and my step mom wanted to move to (they lived in San Mateo, CA) and my step-mom came in and said ‘San Francisco’. They found a place not too far from shopping, the concerts in the park, the zoo, the beach. They wanted to enjoy these things by walking to these places. My dad had this big smile. You can tell he felt this was right and he was looking forward to simple pleasures. This was huge. See, we had spent the last decade of his life trying to convince him into just enjoying simple pleasures -- but back then he reverted to the bottle and most of the time for a while he was not alert, asleep with a different type of dream and us waiting til that wave passed so that we could talk about why he chose that path. But in the dream, he looked like he gave up drinking, he was proud that he could make this decision, he was truly happy. I walked over to him and gave him a big, long hug in which I can feel the rise and fall of his breathing, the warmth of his skin, the calmness in his way. I said to everyone “THIS is my father” meaning this is the father I know, love, and believe. Then I woke up. Smiling. Happy. Though I had an OMG moment, forgetting for that split second that he was not on this earth, I felt at peace knowing he’s at peace.


NOTE: my son’s music class has been dancing to one of Peruvian songs I remember dancing to in my dad’s house with my step-mom. I’m filled with such happiness when I see him dance and have this song in his experience. Each time I want to also jump out of my seat and dance (I stay cool, but I’m dancing inside:). After I wrote this, I posted these links below and I was so happy to share it, and it was also a great opportunity to talk about Peruvian music, and the pictures in the last link



Here’s one I found on youtube of El Condor Pasa...thinking of my step-mom :)


Friday, May 31, 2013

Hubby's Graduation

Another very special event took place last week -- the week I graduated from a graduate program in Communication Sciences/Speech Language Pathology: my husband's graduation from his graduate program in Computer Science. This, too, was a super challenge and a very exciting event for our family.

A bit of background: my hubby and I met as post collegiate athletes training for an Olympic Development team 16 years ago. I was doing a graduate program in education at the time and he took an interest in both my academics and running. A friendship developed and the rest is history.

When I got a college teaching job both my hubby and I enrolled in HTML and C++ classes in the computer sciences department. This was during rhe dotcom era. He was much better at it than me. But then again, despite the fact that we both did language undergrad programs (him in English lit and me in Spanish lit) he rocked the gaming world. I remember saying "hey, you are so good at programming those games you do -- have you ever thought about going back and doing computer science?"

When the fall enrollment came up, we both went and had coffee and signed up for classes in this department together. That was enough to get him hooked. So, when we moved for another college position for me, he officially enrolled at that college as a computer science major, graduated with a second degree, this time a Bachelor of Science.

He was considering a high school teaching job until he met my co-worker's husband. This is a person we are forever grateful for. He asked my husband if he ever thought of the aerospace industry. We both were clueless. He got my husband an internship. Soon afterward he was offered a permanent job but then needed to enroll into a graduate program for job security. This was at a time when our son was born, our son had several medical complications along the way, then 4 years later we lost our daughter at delivery, I entered a graduate program to help our son 6 years ago, then his wife got cancer (me). He's had a full plate and reached the point where no more extensions for the graduate thesis was possible. He had a two week window of cranking out that thesis or the entire 8 years of sacrifice would expire without a degree.

So, he took a full two week vacation to crank that puppy out and did it with flying colors!

He originally didn't want to do the ceremonies since he's pretty low key -- but I convinced him that it is a family affair -- our son deserves to see BOTH his Mommy and Daddy walk at commencement since he's seen us as students pretty much his whole life. Thankfully he agreed after a few months of convincing. To see his happy face at graduation was amazing. He seemed so happy, proud, excited. Our son got to see both of us in this special event (his ceremony was a week ago today; mine was Tuesday of that same week). Our 8 year old son now talks about wanting to graduate from college. I'm just so so joyful of this experience. I feel grateful and blessed beyond words.

Thursday, May 30, 2013

Last Chemo Cycle and White Blood Cell Treatment

Can't believe we've made it to this day that once seemed so far away!!! At today's white blood cell treatment of neulasta, my son, the nurse and I were singing the song from the Sound of Music as I got my shot "These are a few of my favorite things....". Giddy. Excited. We see the finish line!

Yesterday's chemo went well. I was there from 930-4pm. I went in alone this time since we needed our son to be with one of us and this worked out. I chatted with other cancer fighters, read A lot, relaxed. No burning feeling this time. But super hyper from the three days of steroids they give. I slept 3 hours the night going in. Since I don't sleep well during the three days of steroid treatment, I nested by cleaning house while watching reruns of Grey's Anatomy on Netflix. Amazing show! I've never seen this and got addicted right away by watching 7 episodes last night.

Today my neck was stiff but this has been typical throughout chemo. It's like there is no fluid in my neck joints so I use my body to turn in the direction I need to see. Hoping this returns to normal after chemo leaves my body. I should be good in 20 days from this infusion. Hoping the good parts of my body recover well over this next year. Overall, super hopeful and excited that this chemo chapter is coming to a close.

As for what's next? Hormone treatment called Tamoxifen for 5 years --- but I'm doing some serious research into opting out since one of my markers of cancer was estrogen positive, I run daily to create bone density, white blood cells, red blood cells, platelets, I eat healthy, and having a baby is now no longer an option (adoption sounding really good. Our son keeps saying he wants a sister ... One that he can see and play with everyday. Still need to convince hubby ;) once I'm recovered ;).

As for surgery, I'm killing two birds with one stone: I developed a hernia in my abdomen so I'll get that fixed with the final reconstruction phase of exchanging the current balloon spacer for an actual implant. That will take coordinating two surgeons so hoping for a first week in August now. So far I've been healing fast so I'm optimistic that will be ok.

Thank you again for love sent my way!
Xoxoxo

Tuesday, May 28, 2013

Cancer Vein Burns: Chemo Cycle 3 Update

One of the side effects I've experienced throughout chemo is burn at the site of infusion. I'm told it is rare -- at my clinic I'm one of 6 experiencing this burn.

I learned from online breast cancer chat/forum posts that taxaotere -- one of my chemo drugs -- can have a nasty reputation of burn when an IV is not properly placed in the vein. Any spillage will burn the skin. So far this is all I've found and it's a mystery with doctors. All they can do is document brand, lot number, batch and hope in the future no repercussions emerge.

In my case, the scars appear ten days later. On this latest chemo cycle the veins did a funny connection of one burn scar to the next (new). Overall this previous cycle did its thing -- it is cumulative so I've been more fatigued and grumpier when I get grumpy. I sleep longer at naps.

The other thing Ive done which I count as treatment or therapy is run 5 miles as soon as I wake in the morning which Ive now completed 23 days of doing this (takes 20 days to form a habit?). On some days I cruise 8 to 9 minutes per mile; my worst was running 19 minute miles. That is how big the range of fatigue can be. Again, it's therapy. The running is pounding. Pounding bones creates red blood cells, white blood cells, platelets. Bone Marrow, bone density is created - it is the exact thing chemo robs you off. So, I fight the bone marrow robber by pounding the @$#*! out of it. And it's helped. Today's labwork is the best I've had ever. Normal white blood cells ranges 4.1 to 10; typical chemo white blood cells is less than 4 and even lower than 1-2 in many; mine was 5.1 today!! Red Blood cells were slightly lower than normal but higher than I've had throughout chemo. Super silver lining! I'm going in strong into my last chemo cycle tomorrow!!!! I get one more graduation this month and I'm on path to upcoming surgery, next phase treatment --- and recovery. The worst is soon over and I see the humongous light ;)

Thank you thank you thank you for positive vibes, thoughts, prayers....you've made a difference in my life and in the life of my family!

Graduation From Academic Program

Earlier this year I blogged about finding out I had cancer in January -- after a January 2nd, 2013 mammogram needing more imaging and testing -- while I was also in a graduate program for communication sciences. It was my third full time year, final semester after three years of prerequisites for a total of six years of our family's life which I did online, in the wee hours of the night when everyone was asleep so as to not use valuable homeschool and home therapy time.

The news of cancer not only initially brought fears of death, but it brought about great great fear as to who would continue my son's education and therapy. Our son is very bright, talented, skilled, warm, loving -- and he also lives with a duplicate chromosome 2 which has caused things like apraxia, dysarthria, hearing loss, GI challenges, and Autism Spectrum Disorder (ASD) in which he is high functioning. I entered the field 6 years ago with 4 other degrees which actually gave us a lot of insight into our son's needs. Therapists told us back then we might never talk or communicate and if so it would be like other clients they saw whose skills got stronger at maybe age ten or later. We were told reading would be the hardest area for us - suggesting we stay at two and three syllable word books until he could say them then move on. They said we would have trouble in other areas of academics and needs and so Special Day classes were our only option. Today, our son is reading 8th grade level as a second grader, he's bilingual in sign and English, he's learning Spanish and Japanese, loves math and science, he plays musical instrument, has reached 5 belts in karate, runs, sing, dances like no other -- he's done the exact opposite of what expectations were made of him. Sure we have challenges still, but our glass is never half empty.

Six years ago we also had to fight specialists in honoring sign language as a language deserving equal status as all languages. In our case, he has a moderate hearing loss and sensory challenges. A moderate hearing loss means he hears but it's like sticking your fingers in your ear then turning away from the person talking. In our case, due to strengths in his peripheral vision (also common in ASD), he picks up side vision movements in both sign and verbal language. But he also fatigues; gradually less over time but we still need supports and naps for instance. Without this, many areas of the brain start to deteriorate --- like the areas housing attention, hearing, brain coordinating and brain planning. Initially when much younger it was all this plus the fact that his mouth was weak (dysarthria) and it wouldn't do what his brain was thinking and wanted to do (apraxia). We had multiple areas of need which have gradually and steadily increased over the years with intervention. Signing is one way that allows access to information and therefore knowledge and access to an education in which one can continue with peers.

We spent years of advocating for our son and of showing them that there are alternative paths to the brain that not only included signing, but music, math, kinesthetic activities and so much more. The neuro field is showing this in its literature with proof of neuroplasticity -- the idea of getting to the same place a different way.

When it comes to signing, for instance, our field of speech language pathology on one end has come a long way in its acceptance of ASL or any mix of sign; and yet divisions occur in which the opposite is true where they say sign hinders language development (this I've never understood since ASL is a language), and is a crutch -- saying all of this with no scientific proof and yet the neuro field shows plenty of brainscans showing benefits. Ironically the negativism and exclusion comes from people who have never been bilingual. Fortunately, as a clinician, I've worked with awesome SLPs and professors. Multimodal and client choices are important. I'm also supportive of people's choices in bilingualism, of inclusion of all languages.

Alternative pathways to the brain means using the visual cortex (if not blind), the temporal, parietal, frontal lobes, the cerebellum, the midbrain through activities like music, math, kinesthetic movements, breathing and core activities -- using all possible ways. It is like if you are driving on the 101 and end up in a traffic jam on the way to downtown San Francisco, one has a couple of options: one could sit in traffic doing the same thing and never move at all OR one could actively take the streets or frontage roads. One could get there period by taking these alternate paths -- and in many cases, can get there even faster. In talking about brain injuries, for example, It's classic Aesop in the end -- I'd pick the constantly moving Tortoise on the frontage road over the non-progressing Hare stuck on the freeway any day (tortoise, by the way, doesn't imply slow -- have you ever seen one jump off a dock into water and seen it pass a fish? They are fast! And unlike the hare -- they have bi features of land and water). That's how the brain and neuroplasticity works and there's plenty of science behind this. It's the path we chose. It's the same path I chose years (hmm. I guess decades now ;)) when doctors told me my running career was over after injuries including a pulled achilles. And yet cross training proved otherwise, ultimately leading me to tasting a wonderful professional career as an elite athlete and later Olympian. And yet in January after learning about my cancer, the thought of continuing with the last items of this particular graduate program prior to this graduation -- the state license and the three year cumulative exam known as 'comps' -- was far from my mind. I was in survival mode fighting my way through mountains of information regarding upcoming tests, imaging, surgeries, chemotherapy, cancer causes, foods cancer likes, my plan to deprive cancer and much more. I had almost given up on my latest academic career in which all these degrees or areas of study are interdisciplinary, informing one another in a full circle of useful application.

I did a lot of soul searching, praying, bargaining, asking for positive energy around me... I wanted a window, not necessarily a big one but just any glimmer of a window that would allow me the opportunity to take my license and comps exams this semester. It was a long shot -- especially in coordinating the schedules of two surgeons and one oncologist AND beating the time they believed my cancer cells would continue aggressively and invasively doing It's thing. The four week window between mastectomy and chemo miraculously, it seemed, to appear. I took it as a sign -- I had to at least try. The worst that can happen is that I wouldn't pass this time around. But there really was no time thinking such thoughts since last moment studying and actual test taking was enough in itself.

Earlier when I blogged about passing that first exam -- the license -- I mentioned I cried like a baby. I was grateful, relieved, filled with purpose.

When we drove to graduation on
May 21st, 2013, I was excited--but, for me, putting that cap and gown on once we parked on campus was like actually getting on a plane to a much wanted trip; it's realness sent chills up my spine. I was literally flying! I loved meeting my flight companions, too, (my classmates of the past three years which I've had the privilege of getting to know and studying with over three full time years without a break; the ones who couldn't make it were there in spirit). The program was far from easy. In fact, for me, it was the hardest degree to get through for many reasons. It's a science field which demands a command of human anatomy, physiology, assessment, treatment while also working on fast paced teams of doctors, physical therapists, occupational therapists, nurses, administrators, families and caregivers (I typically read daily from 4am-8am and worked with clients on Fridays). For me and my family, we also buried our daughter, survived septic shock post delivery, experienced a tumor which appeared two years ago in my pelvis which required surgery, advocated for our son through various diagnosis assessments and treatments, and now fought an aggressive and invasive cancer that I only read about in others until this January. It is the most meaningful of degrees I've ever experienced.


Surviving for me has always meant a chance in life. I hope this chance, with this latest degree, gives me a chance to work with severe cases in which an alternative and yet evidence based scientific path can make a difference. I've seen it already in everyone I've worked with over these past three years, past 8 years with our son, and I am grateful that this path is open to me. None of this was on my own; I've had so much support in so many ways. I'm so grateful.

I'm grateful that my son has fueled this passion -- and I'm so so grateful I am getting to live, I am still getting to be the main driver of his education and therapy AND most importantly, I am getting to be his main advocate and mom.